HomeMy Public PortalAbout5033 FRATUS DR_Mechanical__ 76 .,364.- GE 818 - 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
ING
DEPARTMENT OF COUNTY ENGINEER ESS
BUILDING AND SAFETY DIVISION LITY
EST
ST
FOR APPLICANT TO FILL IN R ✓►1'
(PRINT OR TYPE ONLY)
NO TYPE OFAPPLIANCEOR EQUIPMENT FEECY TEL NO
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS J!�
BOILER, BTU CITY TEL NQ_js '7 ��.
V
COMPRESSOR, BTU STATE $ LIC
LICENSE NO U U CLAS I
VENTILATION SYSTEM DISTRICT NO GROUP ZONEPROC ED BY
EVAPORATIVE COOLER
FURNACE FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER SUSPEND Q IT Od U
CD
WALL O ~
w
a
Z
Plan check fee 25% of above See reverse
PERMIT ISSUING FEE $ �300
I OTAL FEE _y_00
PLAN CHECK APPLICANT
NAME
ADDRESS 24�_ f
CITY TEL NO3_�;— 3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS ATE PECTOR' SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALI ORN
SIGNATURE PERMIT VALIDATIVN CK M O CASH
OF PERMITTEE
PLAN CHECK VALIDATION M o CASH
L,Lo0 7 47 JAN 26 4 1 D 8.010
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE